Improvement Targets High Performance A randomized trial of glutamine and antioxidant supplementation in critically ill patients Improvement Targets High Performance Promotility Agents & Small Bowel Feedings REDOXS© patients who receive < 80% of prescribed study supplements, a median of 51% received motility agents and 26% had small bowel feedings. The Canadian CPGs recommend patients who experience feed intolerance (high gastric residuals, emesis), the use of a promotility agent is recommended. Volumes of REDOXS© Study Supplements Administered It is important to ensure that the full volume of study supplements is administered each day. If there are interruptions, remember the rate can be adjusted to make of for these lost volumes up to a total of doubling the rate for 12 hours. Site Specific _______________________________ _____________________________ Timely initiation of REDOXS© Study Supplements Our ICU is doing an excellent job with respect to initiating REDOXS© study supplements within 2 hours of randomization Early Enteral Nutrition REDOXS© sites have performed well, with a median time of 20 hours for initiation of enteral nutrition! The Canadian Nutrition CPGs recommend that enteral nutrition be initiated within 24-48 hours of admission to ICU. Site Specific _____________________________ Study Sponsor: Dr Daren K Heyland Clinical Evaluation Research Unit Queen’s University, Kingston ON, Canada